This study included the clinical analysis of 214 cases of small intestinal obstruc-
tion about its incidence, symptoms & signs, X-ray & laboratory findings, opera-
tive procedures, complications, and mortality, which were treated conservatively
- and / or surgically at the Department of Surgery in Ewha University Hospital du-
ring 5 years from January, 1977 to December, 1981.
1) The main causes.of small intestinal obstruction were adhesion (35 %), intussus-
ception (30.4 %), and hernia (&9 %).
2) 140 cases were male, 74 cases were -female,-and a ratio of male to female - -
was L9 : 1,
3) The cardinal symptoms and signs were abdominal. pain (76.6 %), abnormal pe-
ristalsis (75.5 %), vomiting (682 %), abdominal distension (65.3 %), abdominal tender-
ness (59 %).
4) The positive findings on simple abdominal X-ray were seen in 91.1 %.
5) The common previous operations, of the cases. of postoperative adhesion were
appendectomy in 35.6 %, gynecological operations in 16.4 %, and a certain operative
procedures for biliary system disease in 9.6 %.
6) The operatve procedures were performed lysis of adhesion in 33.1 %, manual
reduction in 30.6 %, and bowel resection in 21.9 %.
7) Wound infection was the most common complication after operation and the
over all complication was 13.8 %.
8) The over all mortality" rate was 3.3 % The common causes of death were se-
psis and electrolyte imbalance.
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